Track topics on Twitter Track topics that are important to you
Aim. The aim of this study is to illuminate nurses' experiences of being in ethically difficult situations in an emergency ward. Background. Nurses working in emergency practice are frequently faced with ethical issues and challenges in their work. Many studies have been conducted concerning ethical challenges, but no empirical studies related to ethics in emergency wards in Norway have been carried out. Design. A qualitative interview study was conducted. Method. Five registered nurses were interviewed about their experiences in an emergency ward in a hospital in Norway. The concept of ethically difficult situations was not defined that the question was left open for the respondents themselves to define what they experienced as ethically difficult. A phenomenological hermeneutical method was used. Results. The most salient point revealed by the study is the enormous difficulty associated with the prioritisation of tasks and the attendant sense of responsibility which this entailed, particularly in the case of nurses in charge. The narratives reveal the vulnerability of the nurses in ethically challenging situations. Conclusions. Despite the pressure of responsibility for their patients, the nurses enjoy a sense of satisfaction in their work. Those recognising the ethical dimension in their own professional practice are unable to hide behind others and thus evade their share of the responsibility. Relevance to clinical practice. Nurses with similar experiences may find the results credible recognising the descriptions or interpretations and seeing them in relation to similar situations. Nurses working on medical and surgical wards, in nursing homes and community care may also feel a great responsibility, difficulties in prioritising and a lack of time for the patients.
Authors: Kari Langeland, Associate Professor, Faculty of Health Science, Vestfold University College, Vestfold; Venke Sørlie, Professor, Centre for Practical Knowledge, Bodø University College, Bodø, Norway.
This article was published in the following journal.
Name: Journal of clinical nursing
Advanced practice nurses are working in a highly interdisciplinary and political context. Such situations can influence the deliberative and ethical decision-making processes in which they are also in...
Private practice professionals providing care in patients' homes are often isolated. The care is controlled by a multidisciplinary care network. In the event of a life-threatening emergency, the Aide ...
Values are the basis of nursing practice, especially in making decisions about complicated ethical issues. Despite their key role in nursing, little information exists on the factors affecting their d...
Work engagement in professional nursing practice is critically important to consider when addressing key challenges of health systems, including the global nursing shortage, pressures to reduce health...
EMERGENCY nurses at all levels should find this to be an excellent resource. It highlights common presentations to the emergency department (ED) from wounds to poisoning to cardiac arrest and focuses ...
This is a multi-centre prospective study in Singapore nursing homes, investigating the factors that affecting deprescribing, and if a team-care deprescribing standard practice gives superi...
The purpose of this study is to determine whether teleconsulting would be effective and cost-effective by reducing the patients transportations and the use of emergency units for nursing h...
A randomized trial of the use of ultrasound by emergency physicians in the placement of intravenous catheters in emergency patients who are found to have difficult intravenous access (defi...
The aim of the study is to improve the surgical patients' care process. The objective is to explore the effect of a new perioperative practice model on 1) patient outcomes (satisfaction, s...
The overall goal of this project is to increase the number of high quality nursing homes in Massachusetts. The study will evaluate an intervention involving two active treatment arms: one ...
The specialty or practice of nursing in the care of patients admitted to the emergency department.
Clinical practice by members of the nursing faculty in order to maintain a balance in their nursing activities--clinical, education, and research.
A nursing specialty created to answer the need for developing a global perspective in the practice of nursing in a world of interdependent nations and people. The focus of this nursing discipline is on the integration of international and transcultural content into the training. Courses include study in the area of cultural differences, nursing in other countries, and international health issues and organizations, as an example.
A way of providing nursing care that is guided by the integration of the best available scientific knowledge with nursing expertise. This approach requires nurses to critically assess relevant scientific data or research evidence, and to implement high-quality interventions for their nursing practice.
The provision of care involving the nursing process, to families and family members in health and illness situations. From Lippincott Manual of Nursing Practice. 6th ed.
Alternative Medicine Cleft Palate Complementary & Alternative Medicine Congenital Diseases Dentistry Ear Nose & Throat Food Safety Geriatrics Healthcare Hearing Medical Devices MRSA Muscular Dyst...